Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.17 / $2,095.00 / $7,838.38	Facility		$29.17	$2,095.00	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $26.67 / $76.09	Professional		$13.06	$26.67	$76.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $288.97 / $469.19	Facility		$78.53	$288.97	$469.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $25.38 / $41.19	Professional		$15.23	$25.38	$41.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $27.26 / $51.78	Professional		$15.46	$27.26	$51.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.51 / $32.34 / $49.37	Professional		$5.51	$32.34	$49.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $26.45 / $51.88	Facility		$17.04	$26.45	$51.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $28.33 / $58.56	Professional		$17.44	$28.33	$58.56
United Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,158.00 / $1,401.00	Facility		$230.00	$1,158.00	$1,401.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.74 / $47.43 / $60.44	Professional		$32.74	$47.43	$60.44